Market Overview

Aetna Collaborates with Four Local Health Systems, Introduces Regional Aetna Whole Health℠ - Southern California Plan


Aetna (NYSE: AET)
has introduced the regional Aetna Whole Health - Southern California
plan to employers with employees in San Diego County, Orange County, Los
Angeles County and select portions of the Inland Empire.

The new, regional health care solution includes the networks of four
existing accountable care collaborations -- Aetna Whole Health - Sharp
in San Diego; Aetna Whole Health - MemorialCare
in Orange County and southern Los Angeles County; Aetna Whole Health - PrimeCare
Physicians Plans
in the Inland Empire and Aetna Whole Health - Providence
Health & Services
in Los Angeles County -- to improve access,
quality and affordability for Aetna customers and members. The four
Aetna Whole Health plans will continue to be available on an individual
basis for local employers that don't have need for a network that covers
a broader geography.

Aetna Whole Health - Southern California members will have access to
approximately 1,400 primary care doctors, 8,300 specialists, 51
hospitals and 122 urgent care facilities across five counties. The new
plan is currently available for self-insured employers and will be
available to fully insured employers pending regulatory approval.

"We are excited to expand our relationships with Sharp, MemorialCare,
PrimeCare and Providence to offer a regional health care product for our
members and customers in Southern California," said Kristen Miranda,
Aetna's president in California. "This innovative product brings
together the right doctors, facilities and technology to improve health
outcomes, while enhancing the member experience."

Aetna Whole Health gives employers better health care options for their
employees, and will feature a new model of health care delivery designed
to offer:

  • Cost savings to employees who use providers in their selected network;
  • A more coordinated, personalized experience for patients; and
  • Better health care outcomes.

"As the region's leader in delivering high-quality care and a superb
patient experience at a reduced cost, MemorialCare is honored to be
Aetna's exclusive network partner in Orange County, Southern Los Angeles
County and Greater Long Beach," says Barry Arbuckle, Ph.D., MemorialCare
President & CEO. "Employers and patients seek our innovative offerings
because we tailor programs to meet their needs, use data to improve
outcomes and help those with risk factors manage chronic conditions and
achieve optimal health. With hospitals and 200 care locations, we are
able to provide consumers, employers and health plans high value care in
the right location with the right services and at the right price."

New payment agreements reward improvements in quality and costs of

The agreement features a new payment model to reward
providers for meeting quality, efficiency and patient satisfaction
measures including:

  • The percentage of Aetna members who get recommended preventive care
    and screenings;
  • Better management of patients with chronic conditions such as diabetes
    and heart failure;
  • Reductions in avoidable hospital readmission rates; and
  • Reductions in emergency room visits.

"With Aetna Whole Health we are building upon our long-standing
partnership with Aetna to provide people living in the Inland Empire
access to high-quality, cost-effective care," said Jamie Phillips,
president of PrimeCare.

"Our goal is to improve access to top-quality, affordable health care
here in the Los Angeles Area – from the South Bay to the San Fernando
Valley and beyond – while continuously raising the bar on patient
satisfaction," said David Mast, CEO of Providence Health & Services Los
Angeles medical foundations. "We can best meet this goal by
collaborating with physicians, hospitals and payers to ensure high value
care is available to the communities we serve."

"Sharp HealthCare and our medical groups, Sharp Community Medical Group
and Sharp Rees-Stealy Medical Group, are very excited to be part of this
Southern California offering and to be aligned with Aetna and these
other excellent providers," said Mike Murphy, President and CEO of Sharp
HealthCare, San Diego's largest health system. "Employers here in San
Diego and throughout Southern California can provide value to their
workers by offering a collaborative network that ensures the delivery of
high-quality, cost-efficient care."

Aetna is working with health care organizations nationwide to develop
products and services that support value-driven, patient-centered care
for health care consumers. Nationally today, more than 7 million Aetna
members receive care from doctors committed to the value-based approach,
with approximately 53 percent of Aetna claims payments going to doctors
and providers who practice value-based care.

About Aetna
Aetna is one of the nation's leading diversified
health care benefits companies, serving an estimated 40.3 million people
with information and resources to help them make better informed
decisions about their health care. Aetna offers a broad range of
traditional, voluntary and consumer-directed health insurance products
and related services, including medical, pharmacy, dental and behavioral
health plans, medical management capabilities, Medicaid health care
management services, workers' compensation administrative services and
health information technology products and services. Aetna's customers
include employer groups, individuals, college students, part-time and
hourly workers, health plans, health care providers, governmental units,
government-sponsored plans, labor groups and expatriates. For more
information, see
and learn
about how Aetna is helping to build a healthier world
. @AetnaNews

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